巴基斯坦信德省农村和郊区院外心脏骤停的特点和结果:一项横断面研究

IF 2.1 Q3 CRITICAL CARE MEDICINE
Resuscitation plus Pub Date : 2024-12-12 eCollection Date: 2025-01-01 DOI:10.1016/j.resplu.2024.100840
Mirza Noor Ali Baig, Zafar Fatmi, Nadeem Ullah Khan, Uzma Rahim Khan, Ahmed Raheem, Junaid Abdul Razzak
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引用次数: 0

摘要

背景:尽管在世界各地的城市中心对OHCA进行了广泛的研究,但在城市化程度较低的地区,特别是在中低收入国家(LMICs),对这些事件的认识存在重大差距。目的:了解巴基斯坦信德省农村和郊区成人院外心脏骤停(OHCA)的特点和结局。方法:回顾性收集信德省各区、县医院2020年1月至2022年12月的OHCA患者资料(18岁以上)。数据分析使用社会科学统计软件包软件(SPSS)统计29。结果139例OHCA患者中,男性占75.5%,女性占24.5%,平均年龄52.78±13.1岁。大多数心脏骤停发生在家中(54.75%)。只有0.7%的患者通过紧急医疗服务(EMS)运送,而59%的患者通过私家车或货车等私人交通工具抵达。另外4.3%是由其他救护车服务,包括私人和慈善组织带来的,36%的病人,运输方式是无证的。43.2%的病例发生心脏骤停。59%的患者进行了心肺复苏术(院内或院前),但只有6.1%的患者接受了院前心肺复苏术(旁观者:1.22%,救护人员:2.44%,家属:2.44%)。14.63%的患者恢复了自发循环(ROSC),而4.88%的患者在入院时还活着。结论:本研究突出了巴基斯坦信德省农村和郊区OHCA患者生存链的显著差距,包括EMS使用率不足、旁观者CPR率低和医院护理延迟,导致预后不良。由于数据缺失和不一致,研究结果可能低估了真实发生率,强调需要改进文献和前瞻性研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Characteristics and outcomes of out-of-hospital-cardiac-arrest in rural and suburban areas of Sindh, Pakistan: A cross-sectional study.

Background: Despite extensive research on OHCA in urban centres worldwide, there is a significant gap in knowledge regarding these events in less urbanized regions, especially in Low-Middle-Income Countries (LMICs).

Aim: To determine the characteristics and outcomes of adult out-of-hospital cardiac arrest (OHCA) in rural and suburban districts of Sindh, Pakistan.

Methods: Data of OHCA patients (>18 years) was collected retrospectively from January 2020 to December 2022, from the medical records of district and tehsil hospitals of the province of Sindh. Data analysis was performed using the Statistical Package Software for the Social Sciences (SPSS) Statistics 29.

Results: Out of 139 OHCA patients, 75.5 % were males, and 24.5 % were females, with a mean age of 52.78 ± 13.1 years. Most cardiac arrests occurred at home (54.75 %). Only 0.7 % of patients were transported by emergency medical services (EMS), while 59 % arrived via private transport, such as cars or vans. An additional 4.3 % were brought by other ambulance services, including private and philanthropic organizations, and for 36 % of patients, the mode of transportation was undocumented. Cardiac arrests were witnessed in 43.2 % of cases. CPR (either in-hospital or pre-hospital) was performed on 59 % of patients, but only 6.1 % received pre-hospital CPR (Bystander: 1.22 %, Ambulance Staff: 2.44 %, Family Member: 2.44 %). Return of spontaneous circulation (ROSC) was achieved in 14.63 % of patients, while 4.88 % were alive at hospital admission.

Conclusion: This study highlights significant gaps in the chain of survival for OHCA patients in rural and suburban Sindh, Pakistan, including inadequate EMS utilization, low bystander CPR rates, and delayed hospital care, contributing to poor outcomes. The findings may underestimate true rates due to missing and inconsistent data, emphasizing the need for improved documentation and prospective studies.

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Resuscitation plus
Resuscitation plus Critical Care and Intensive Care Medicine, Emergency Medicine
CiteScore
3.00
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